I underwent total knee replacement of right knee 4 months back but still has pain and life does not straighten up. I have discontinued physiotherapy thru hosp as lady physiotherapy workers (all of them claim ,they can be called as Doctors) only tell you to do ex yourself and only count 1,2 ,3. However, the leg needs massage and pressure by a strong person. Now somebody tells me for total knee replacement, I do not have to use hot pad (since metal inside) and massage not good for knee as it may displace the metal implant. I do lot of walking, but again ,they say this is no alternative to physiotherapy Your advice, Sir Surjit (66 years male) Delhi.

Dr. Rajesh ChodaAyurveda35yrs exp

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Physiotherapy is an imminent part post TKR. Forcible massage is not advised. However JANUDHARA/ Janubasti with little warm/ normal oil is not contraindicated. Walking is good but then bending (to the degree allowed) exercises is not achieved by walking. 

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Dr. Naveen SinghPhysiotherapist7yrs exp

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Sir you need to strengthen the muscles to improve your knee. Take Ice pack on Knee for pain relief. Apply Osteogesic Oil on Knee. Do Isometric Exercises for Quadriceps, Hams& Glutei. Do Dynamic Quads with one kg weight cuff. 

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Dr. Vipul AggarwalOrthopedist8yrs exp

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I am sure the pain must not be so severe enough as it was before the surgery. Now thats its been 4 months, its expected that you walk independently and carry all your day to day activities. Little bit of pain on and off can come and go. The main stay of treatment remains exercises. Please see I am saying exercises and not physiotherapy to emphasise on the fact that its you who have to do it as much as you can and do not depend on the physiotherapist. The knee extension (straightening) should be full. Bending will depend on your pre operation status. I do not think you should loose hope. Do as much as possible of quadriceps exercises and do not loose hope. Total knee repacement is one of the most successful and reproducible surgery after cataract and has got good results. Cheers. 

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